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MISSOURI LEGISLATIVE
UPDATE
With only three weeks
remaining in the 2008 Missouri Legislative Session, legislators
are debating bills long into the evening and advocates are
watching time run down for our priority legislation to be heard,
debated, and passed. So far this
session:
-
1,999 bills,
resolutions, and constitutional amendments have been filed in
the House & Senate
-
505 bills have
passed through committee (25.3%)
-
308 bills have
passed one chamber (15.4%)
-
23 bills have
passed both chambers (1.2%)
-
6 bills have been signed
by the Governor (.3%)
Partnership for Children is
still following three priority bills relating to early care and
education. SB 726, the Quality Rating System, passed the Senate
on March 27th but has not yet been referred to a
committee in the House. It is expected that the House will turn
their efforts starting next week to advancing bills that have
already passed the Senate. HB 2264, relating to child care
affordability, has been referred to the House Special Committee
on Family Services and we are still working on scheduling a
hearing on this important legislation before the end of session.
Finally, PFC is looking for opportunities to advance SB 1221,
revising Missouri’s
P-20 Council, by amending it to other legislation moving through
the process. One thing is for sure, there is lots more work to
do before May 16th!
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SENATE COMMITTEES DISCUSS
BILLS IMPACTING CHILD
ABUSE
Three bills
addressing investigations and penalties for child abuse were
discussed in Senate committees this week.
Children’s Courtroom Bill of
Rights: HB 1611, establishing a children’s bill of
courtroom rights, was heard in the Senate Judiciary Committee
last Monday. Witnesses in support of the bill, including the
Springfield child advocacy
center, have highlighted the special needs of child witnesses
who have been victims of abuse. The committee chairman, Senator
Matt Bartle, raised concerns that the bill might make it more
difficult for prosecutors to determine if a child is lying about
sexual abuse. Senator Bartle was particularly concerned of the
bill’s impact if Missouri passes legislation
allowing capital punishment for child rape (SB1194).
Death Penalty for Child Rape:
Incidentally, the committee voted to pass SB1194 the same night
and it is now on the Senate Calendar. The Supreme Court is
expected to rule later this year on the constitutionality of
similar legislation in Louisiana. Partnership for
Children opposes SB 1194 because making child rape a capital
offense could deter children from reporting their abuse out of
fear that a family member or family friend could be put to
death. In addition, those who have been given the death
penalty often go through years of appeals. Putting
children who have been victimized through a capital punishment
case could make them relive their victimization for many years
to come.
Child Abuse & Neglect
Registry: Finally, SB1106, sponsored by Sen. Delbert Scott,
was heard in Seniors, Families & Public Health last
week. Partnership
for Children and our partners across Kansas
City and Missouri, worked hard to keep
this legislation from moving forward—with 3 weeks
remaining in the legislative session, it is unlikely to
progress. There are
several provisions that have child advocates concerned. SB 1106
would allow perpetrators to circumvent the Child Abuse and
Neglect Review Board and go straight to circuit court. In
addition, it would prevent perpetrators names from being placed
on the Central Registry while awaiting action by the court,
which in some circuits could be as long as three years.
In
addition, this bill requires that trials de novo be conducted
under the Missouri criminal
rules of evidence instead of the Missouri rules of civil
procedure, which shifts the emphasis from focusing on the
welfare of the child witness to the alleged perpetrators right
to confront the witness. This can result in a court giving less
weight to the emotional challenges that a child victim may
experience if placed in a position of either choosing to testify
in person and face the alleged perpetrator or choosing not to
testify and allow the alleged perpetrator to go free.
Partnership for Children opposed this bill in committee. We were joined by the
Missouri Juvenile Justice Association and the Child Advocacy
Center of Springfield.
In addition, to testimony provided in committee, several
advocates including the Child Protection Center in Kansas
City submitted written testimony in
opposition.
Woody Cozad of the Heartland Learning Center and Deanna
Gallagher testified in favor of SB1106.
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CONFERENCE NEGOTIATIONS BEGIN ON
FY'09 BUDGET
Last week the Conference
Committee began their work on the budget bills, working out the
differences between the House and the Senate version of the
bills. The Senate
Conferees are Senators Nodler, Mayer, Rupp, Bray and Green. The House Republican
Conferees are Icet, Stream and Robb for all bills. Reps. Curls and
McClanahan serve as conferees for House Bills 2010 (Department
of Health and Mental Health) and 2011 (Department of Social
Services).
Partnership for Children, along with
our partners at Citizens for Missouri’s Children, the
Missouri Primary Care Association, and the Missouri Association
of Rural Health Clinics, continued to lobby the House and Senate
last week to maintain the House position related to presumptive
eligibility for the state children’s health insurance
program. The House
included $3.3 million dollars to expand presumptive eligibility
to all community health clinics and rural health clinics.
Federal law allows states to employ
temporary eligibility for children, which means that certain
agencies are allowed to take applications to enroll income
eligible children into the Medicaid and SCHIP health insurance
program. Children
found temporarily eligible can immediately receive all covered
health services.
The family then has 30 days to complete the MoHEalthNet
for Kids application in order to continue the coverage and the
provider receives the reimbursement from the state at the
Medicaid/or SCHIP match rate.
According to the latest Census data on the
uninsured, approximately 60,000 children under 150% of the
federal poverty level are uninsured in Missouri. For a family of 4, that
is just $30,975 per year.
If just 25% of these children ultimately enrolled,
potentially 15,000 children could benefit from the
implementation of presumptive eligibility. Having health insurance
is a key predictor in ensuring that children see a health care
professional, get the medicines they need when they are sick,
and are successful in school and in life.
The budget must be
approved by May 9.
INSURE MISSOURI
UPDATE
The
Senate took up and perfected SB1283, sponsored by Sen. Tom
Dempsey this week.
The Insure Missouri piece of the bill was amended and
improved thanks to the actions by the Missouri Budget Project
and our key advocacy organizations. The new language clarifies that
parents/caregivers with incomes under 100% of federal poverty
level would not have to have health savings accounts and would
not be subject to high deductive costs. The bill passed by the
Senate added an affordability test similar to that in the SCHIP
program and allows for disregarding a small amount of unearned
income.
The
House version of Insure Missouri, HCS HB2413,
sponsored by Doug Ervin, is significantly different from
SB1283. According
to analysis by the Missouri Budget Project, the House bill
requires individuals to find insurance in the private
market. It would
also require the use of a waiver for the entire expansion.
Waivers require the federal funding to be capped, which means
the state, over time, will need to assume an increasing cost
burden. The buzz
around Missouri is that there are not
enough votes in the House to pass this bill. Many hospitals are
opposed to the bill due in part to a provision that allows
hospital expansion without a certificate of need.
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NURSE HOME VISITING LANGUAGE PASSES AS
AMENDMENT
This
week, language was amended to HB1516 that would make home
visiting by nurses reimbursable through the MoHealthNet
Program. Rep. Jason
Holsman has stand alone legislation (HB 2423) and recently had a
hearing on his bill.
The amendment, offered by Rep. Jason Holsman, passed by a
voice vote.
Home visiting is a
long-standing, well-known prevention strategy used by states and
communities to improve the health and well-being of women,
children, and families, particularly those who are at risk.
Early investments in home visiting programs have been shown to
reduce costs due to foster care placements, hospitalizations and
emergency room visits, unintended pregnancies, and other more
costly interventions.
Currently, states fund their home visiting programs
through a number of different funding streams including
Medicaid, the State Children’s Health Insurance Program,
The Title V Maternal and Child Health Services Block Grant, and
TANF. About a
dozen of the nearly 30 states with home visiting programs cover
this service under their Medicaid program, either through
reimbursement rates, targeted case management dollars or
targeted case management administrative
funds.
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KANSAS LEGISLATIVE
UPDATE
BUSINESS LEADERS HEAR ECONOMIC, WORKFORCE
BENEFITS OF INVESTING
EARLY
Investments in early childhood education go hand-in-hand
with workforce development and productivity, a group of business
leaders were told April 17 in Overland Park.
The
group of leaders from Johnson and Wyandotte counties, which
gathered for a luncheon sponsored by the Committee for
Economic Development, heard from Gov. Kathleen Sebelius, as well
as national and local experts on the economic benefits of
investing in early childhood education programs. Guests were
welcomed by Michael Chesser (pictured), president & CEO of
Great Plains Energy Services. Chesser serves as a CED
trustee and on the Kansas Coalition for School Readiness board
of directors.
"Preschool programs have long prepared children for
educational success, but investing in high-quality early
education also offers promising ways to strengthen the future
economic and fiscal position of states and the nation," said
Michael Petro, president of
CED.
The
luncheon was funded and coordinated in part by early childhood
leadership teams in Johnson and Wyandotte counties utilizing a
grant from Kansas Action for
Children.
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NATIONAL
UPDATE
HOUSE VOTES OVERWHELMINGLY
TO DELAY NEW MEDICAID
REGULATIONS
Last
week the House voted overwhelmingly to delay implementation of
the Medicaid regulations. The House passed H.R.5163, which
places moratoria on the implementation of the seven
regulations.
Although the Bush administration had issued a veto
threat, the House passed the bill on a 349-62 vote, ensuring a
margin large enough to override a presidential veto. In
Missouri, Congresspersons
Carnahan, Clay, Cleaver, Emerson, Graves and Skelton voted YES. Congressmen Akin and
Blunt voted NO and Congressman Hulshof was
absent.
Now it is
up to the Senate to take up the measure. A similar bill
was introduced by Sen. Jay Rockefeller (D-WV), Sen. Olympia
Snowe (R-ME) and Sen. Ted Kennedy (D-MA) in early April (S.
2819). The legislation would impose the same moratoria as
H.R. 5613, plus moratoria on two additional regulations.
It also includes a targeted fiscal relief package. Several
Republican Senators, including Sen. Charles Grassley (R-IA) have
already come out against the legislation, believing that
moratoria is tantamount to ignoring fraud and abuse in the
Medicaid program. It is unclear at this point when the
legislation might come up for a vote, although Sen. Max Baucus
(D-MT), Chairman of the Senate Finance Committee, has announced
his intention to work with his colleagues to stop the
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COVER THE UNINSURED WEEK
APRIL 27 - MAY 3
Cover the Uninsured
Week 2008 will take place
April 27 – May 3 with thousands of activities across the
country. To learn how you can get involved in Cover the
Uninsured Week 2008, please visit www.covertheuninsured.org.
Forty-seven
million Americans are uninsured. Nearly 9 million of them are
children. More than 8 out of 10 are in working families. In
Missouri alone, nearly 543,000
people are without health coverage – that is 11% of our
state, which includes nearly 127,000 Missouri
children!!! Cover the Uninsured is a national effort
of the Robert Wood Johnson Foundation to highlight the
fact that too many Americans are living without health insurance
and a way to work with our nation’s leaders to come up
with solutions.
We hope you will join the nation in helping make health
coverage for the uninsured a top priority.
Until Next Week –
Carrie &
Emily
Policy &
Outreach Coordinators
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